Estate of                                                         , Deceased

 

 

Schedule of Assets

 

 

 

 

Description of Assets

A

B

C

D

E

Total value of

Asset on

Date/Death

How is

Asset

Owned

Portion

Owned by

Decedent

Value of

Decedent’s

Interest

Probate

Or

Non-Probate

1.   Cash Items:

 

 

 

 

 

 

 

 

 

 

 

 

2.      Bank/Savings & Loan Accounts:

(name and location of the bank, type of account, account number, account balance)

 

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.      Real Property

(common address, brief description)

 

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.      Securities

Stocks

(name of company, type and number of shares)

 

 

 

 

 

 

 

 

 

 

 

 

Bonds:

(type of bond, face amount)

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Savings Bonds/Treasury Bills:

(Series, amount, date of issue)

 

 

 

 

 

 

 

 

 

 

 

 

Mutual Funds:

(Name of the fund, number of shares)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of Assets

A

B

C

D

E

Total value of

Asset on

Date/Death

How is

Asset

Owned

Portion

Owned by

Decedent

Value of

Decedent’s

Interest

Probate

Or

Non-Probate

5.      Insurance:

(Name of the company, policy number, name of beneficiary, name of owner)

Policies on Decedent’s Life:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Policies owned by decedent on another

 

 

 

 

 

 

 

 

 

 

 

 

6.      Retirement and Death Benefits:

(Description, beneficiary, amount)

Employee Benefits:

 

 

 

 

 

 

 

 

 

 

 

 

Pension, Profit- Sharing, Savings Plans:

 

 

 

 

 

 

 

 

 

 

 

 

Social Security/Railroad Retirements:

 

 

 

 

 

 

 

 

 

 

 

 

7.      Amounts Due to the Decedent:

(Name of payor, amount)

 

 

 

 

 

 

 

 

 

 

 

 

8.      Promissory Notes:

(Name of payor, date amount, balance)

 

 

 

 

 

 

 

 

 

 

 

 

9.      Tangible Personal Property:

(Household furniture, furnishings, personal effects, books, jewelry,

artwork, valuable collections, antiques, etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.  Automobiles

(Year, make and model)
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of Assets

A

B

C

D

E

Total value of

Asset on

Date/Death

How is

Asset

Owned

Portion

Owned by

Decedent

Value of

Decedent’s

Interest

Probate

Or

Non-Probate

11.  Business Interests:

(Partnerships, sole Proprietorships, Family corporations, brief descriptions)

 

 

 

 

 

 

12.  Other Assets

(Copyrights, royalty interests, patents, any other property not listed above)

 

 

 

 

 

 

 

                           Total Value of Decedent’s Gross Estate:

 

Deductions (for Federal Estate Tax Purposes)
Amount
a. Debts owned by decedent at date of death

 
 

 
 

 
 

 
 
b. Expenses of estate administration:

 
 

 
 
c. Last illness expenses:

 
 

 
 
d. Funeral expenses:

 
 

 
 

 
 
e. Sales contracts (automobiles, furniture, television):

 
 

 
 
f. Mortgages/promissory notes due:

 
 

 
 

 
 
                                                               
                                                                                 TOTAL: $